1 00:00:12,09 --> 00:00:17,64 This is the series in the dogs with resources on health finances and others. 2 00:00:21,17 --> 00:00:23,85 Welcome to another edition of happy and healthy 3 00:00:23,86 --> 00:00:29,22 a series that's devoted to helping older adults and their families learn more about 4 00:00:29,23 --> 00:00:34,23 the resources available to them in their community today we're going to be talking 5 00:00:34,24 --> 00:00:39,75 about eating right we're healthy and we have with us Michele ingrown who is 6 00:00:39,76 --> 00:00:44,64 supervisor of Human Services at Hillsborough County Family an aging services book 7 00:00:44,65 --> 00:00:49,89 a shout thank you for having. Catherine Allen who is the director of the Department 8 00:00:49,90 --> 00:00:55,63 of Nutrition and also registered dietitian Moffitt Cancer Center welcome to you 9 00:00:55,68 --> 00:01:01,28 thank you for being here and Andrea broken the director of relations for our 10 00:01:01,29 --> 00:01:07,27 wonderful Meals on Wheels program here in Tampa I'm Lisa Thompson director of the 11 00:01:07,28 --> 00:01:13,21 bake work where ordinary people down learned Video Production Services and have 12 00:01:13,22 --> 00:01:18,29 their own show just like this one. So please come and see us for that well let's 13 00:01:18,30 --> 00:01:18,57 talk 14 00:01:18,58 --> 00:01:23,21 a little bit about the three programs that you all represent birds Michelle start 15 00:01:23,22 --> 00:01:27,41 with you tell us about the Hillsborough County family in age services OK I would 16 00:01:27,42 --> 00:01:32,44 love to Hillsborough County provides nutritious meals for seniors sixty and older 17 00:01:32,84 --> 00:01:34,90 so for those that would like to have 18 00:01:34,91 --> 00:01:40,04 a hot lunch we provide meals Monday through Friday at one of our senior centers and 19 00:01:40,05 --> 00:01:43,35 we have senior centers all throughout Hillsboro County so we can provide you with 20 00:01:43,36 --> 00:01:47,24 the website and they can actually go online or even call if they don't have 21 00:01:47,25 --> 00:01:51,29 a computer to find out where the closest senior center 22 00:01:51,30 --> 00:01:56,33 a senior site is where they serve meals and then in addition to that if they are 23 00:01:56,34 --> 00:02:01,52 not able to come to the senior center they can receive the home delivered meals if 24 00:02:01,53 --> 00:02:06,84 there are more home about so we can also provide the nutritious meals for them we 25 00:02:06,85 --> 00:02:12,26 can bring them to the home and ensure that they are receiving at least the 26 00:02:12,27 --> 00:02:16,90 nutritional portion of the meals that they need so they can sustain their quality 27 00:02:16,91 --> 00:02:21,84 of life we're here Catherine about telling us about what Moffatt does what you do 28 00:02:21,85 --> 00:02:25,66 in your department on the off the cancer center is very and N.C.I. 29 00:02:25,67 --> 00:02:29,49 Does ignite a cancer center it's the only one in the state of Florida it's 30 00:02:29,50 --> 00:02:34,02 a Comprehensive Cancer Center which means we do everything within the whole 31 00:02:34,03 --> 00:02:39,91 spectrum of diagnosis of cancer from prevention through treatment and then recovery 32 00:02:40,19 --> 00:02:46,72 so we educate the public about how to reduce risk for cancer and also how 33 00:02:46,73 --> 00:02:52,45 to manage their potential side effects during treatment and how to reduce the risk 34 00:02:52,46 --> 00:02:59,09 of recurrence after treatment and as the director I into staff development 35 00:02:59,10 --> 00:03:05,33 and develop education and training for the public as well as our patients in your 36 00:03:05,34 --> 00:03:10,25 nutrition in their needs of the nutritional needs of patients as well as the 37 00:03:10,49 --> 00:03:16,62 general public. Great interview you want to tell us about. That you're forever. 38 00:03:17,77 --> 00:03:23,62 A very long. Has been here thirty seven years in the camp and we serve over seven 39 00:03:23,63 --> 00:03:29,38 hundred seniors in homebound every day Monday through Friday it is delivered to 40 00:03:29,39 --> 00:03:34,47 their doors delivered hot and they can also get we can mails delivered on Friday to 41 00:03:34,48 --> 00:03:38,83 frozen meals for the weekend if they choose to do that so we're not government 42 00:03:38,84 --> 00:03:43,46 funded of or supported toy by this community and like 43 00:03:43,47 --> 00:03:45,37 a seventy five serve over seven hundred every day 44 00:03:45,41 --> 00:03:50,27 a lot of people don't know that you aren't government Yeah we're not that amid what 45 00:03:50,28 --> 00:03:56,00 is this deal yet and definitely it's one of the mess the our budget right now it 46 00:03:56,01 --> 00:04:00,38 grew recently with our recipient basically grown right now our budget is one point 47 00:04:00,39 --> 00:04:01,26 eight million dollars 48 00:04:01,27 --> 00:04:05,11 a year and we do except great amount of money for seven hundred people 49 00:04:05,12 --> 00:04:07,65 a day. Yeah you know you did 50 00:04:07,66 --> 00:04:13,49 a very good yeah today we have nine hundred active but about two hundred of those 51 00:04:13,50 --> 00:04:17,28 might be in the hospital or have doctors' appointments so yes there were seven 52 00:04:17,29 --> 00:04:18,89 hundred seventeen people 53 00:04:18,90 --> 00:04:24,18 a day you also provide meals to people who may have been injured or not are not 54 00:04:24,19 --> 00:04:28,78 seniors Right right it's basically that you're home bound so you either can't make 55 00:04:28,82 --> 00:04:33,25 your meals or you can't get to the store so we've had people in their twenty's or 56 00:04:33,26 --> 00:04:34,98 thirty's maybe they suffered 57 00:04:34,99 --> 00:04:39,97 a car accident or maybe they're terminally ill and they just do the extra support 58 00:04:39,98 --> 00:04:43,77 you know they can get the story more to buy their food but you know we have six 59 00:04:43,78 --> 00:04:48,92 people over one hundred Also I can't he is there it is there any income level at 60 00:04:48,93 --> 00:04:54,60 which people can get the meals and then maybe not free and they can pay for the 61 00:04:54,84 --> 00:04:58,93 lower back and right so when they call us our first thing we're talk about of their 62 00:04:58,94 --> 00:05:04,37 home bound or not as long as they qualify with that when we talk about income our 63 00:05:04,38 --> 00:05:07,26 meals are four dollars and seventy five cents 64 00:05:07,39 --> 00:05:11,77 a day all I can say I'm working and please send the meals and thank you for your 65 00:05:11,78 --> 00:05:18,09 backyard that sounds so good you know but the meals are for seventy five 66 00:05:18,10 --> 00:05:24,56 however if. You're under tight budget constraints you're just living on Social 67 00:05:24,57 --> 00:05:29,72 Security we were in a sliding scale so about thirty to forty percent of 68 00:05:29,73 --> 00:05:31,64 a recipient to pay a dollar or two dollars 69 00:05:31,65 --> 00:05:36,37 a meal and another thirty percent do not pay anything they just can't afford it so 70 00:05:36,38 --> 00:05:39,81 we really were with them to see where they are heaviest How does that work with 71 00:05:40,15 --> 00:05:44,88 Michelle I said work if it can be two three you said there there can be you know 72 00:05:44,89 --> 00:05:48,82 where where you are and meals on the way actually really hard we actually partner 73 00:05:48,83 --> 00:05:52,91 with Meals on Wheels because like you said there's so many people that are in need 74 00:05:52,92 --> 00:05:56,81 of a nutritious meal that of course the county does 75 00:05:56,82 --> 00:05:59,75 a little help with making sure that we service all of the clients that we have in 76 00:05:59,76 --> 00:06:04,42 the community but we do provide the home delivered meals also breakfast and very 77 00:06:04,43 --> 00:06:08,63 similar the frozen meals for those that need. Them and with us of course we're 78 00:06:08,64 --> 00:06:13,49 counting so we do receive grant dollars and county dollars state dollars to assist 79 00:06:13,50 --> 00:06:17,25 us with the cost but of course due to budget because you know we we have 80 00:06:17,29 --> 00:06:21,00 a limited amount that we can provide Out to the community our home deliver mail 81 00:06:21,01 --> 00:06:24,23 program right now we are open for 82 00:06:24,24 --> 00:06:28,28 a moment so we are at rolling clients for the home to live near program and the 83 00:06:28,29 --> 00:06:31,07 eligibility is that they have to be home so if they have 84 00:06:31,08 --> 00:06:35,20 a vehicle and they're able to go to the grocery store and shop and they wouldn't 85 00:06:35,21 --> 00:06:40,30 necessarily qualify but we always tell people that if you know someone who is home 86 00:06:40,31 --> 00:06:43,24 bound that really does need the meal by all means give us 87 00:06:43,25 --> 00:06:47,62 a call and then we can do an assessment to see exactly where they are whether their 88 00:06:47,63 --> 00:06:51,88 financial needs or if they meet the criteria which for us they have to be sixty and 89 00:06:51,89 --> 00:06:57,42 older Catherine tell us about you know they're running programs that are really 90 00:06:57,43 --> 00:06:58,97 helpful to people but I know there's 91 00:06:58,98 --> 00:07:04,41 a lot of misinformation out there or maybe myth information about. 92 00:07:06,41 --> 00:07:09,27 What we should all be eating or not eating you know we have 93 00:07:09,51 --> 00:07:16,48 a Department of Health or something else or whatever what what recommendations 94 00:07:16,49 --> 00:07:18,17 do you make is as 95 00:07:18,18 --> 00:07:24,37 a dietician just normally and then somebody has sort of the things you should avoid 96 00:07:24,38 --> 00:07:29,96 or make sure you eat or that well what the evidence consistently shows is that 97 00:07:29,97 --> 00:07:30,37 eating 98 00:07:30,75 --> 00:07:37,48 a diet that is primarily plant based not necessarily vegetarian but three fourths 99 00:07:37,49 --> 00:07:42,82 of what's on your plate should come from plant foods and that's why the U.S.D.A. 100 00:07:42,83 --> 00:07:47,10 Changed from the pyramid to the plate method so you can look at your plate and say 101 00:07:47,11 --> 00:07:51,35 OK I mean divided into three into corridors three quarters of that should come from 102 00:07:51,36 --> 00:07:55,63 plants one quarter should come from animals so that we can make sure we have 103 00:07:55,64 --> 00:08:01,88 a balance so it's about balance for rioting and moderation we also know that excess 104 00:08:01,89 --> 00:08:07,17 body fat increases cancer risk so what should you do you should eat according to 105 00:08:07,18 --> 00:08:11,04 your appetite and to eat enough to be satisfied and then have 106 00:08:11,05 --> 00:08:13,25 a balanced variety and 107 00:08:13,29 --> 00:08:20,05 a wide range of plant foods or foods that. I've heard this before I just 108 00:08:20,06 --> 00:08:27,02 wonder if it's true. Stay away from sugar because cancer loves sugar these kinds of 109 00:08:27,06 --> 00:08:33,99 you know that's a very common misconception it is in this it is that sugar is in 110 00:08:34,00 --> 00:08:37,00 a lot of things naturally as well as added to 111 00:08:37,01 --> 00:08:41,42 a lot of things when we think about sugar typically people think of the sugar in 112 00:08:41,43 --> 00:08:43,02 the Sugar Bowl it's 113 00:08:43,03 --> 00:08:47,49 a concentrated source of simple sugar came from sugar cane so it started those of 114 00:08:47,50 --> 00:08:51,40 us basically and what we've done is refined it there are 115 00:08:51,41 --> 00:08:55,64 a lot of foods that have that refined sugar added which increases the calorie 116 00:08:55,65 --> 00:09:01,54 concentration of that food so we know that having excess calories increases weight 117 00:09:01,70 --> 00:09:08,12 which then increases cancer risk but does sugar directly cause cancer no when we 118 00:09:08,13 --> 00:09:12,58 eat foods that contain carbohydrates they're all digested and broken down into 119 00:09:12,59 --> 00:09:17,70 sugar in our bodies and that's our primary fuel source so the only way to deprive 120 00:09:17,71 --> 00:09:21,76 those cancer cells of sugar is to deprive your healthy cells and we don't want to 121 00:09:21,77 --> 00:09:28,65 do that. So know if you noticed the and that logic been how that came about yes 122 00:09:28,66 --> 00:09:31,98 I understand why people may think of that and there's 123 00:09:31,99 --> 00:09:37,81 a lot of misinformation out there about it but sugar doesn't directly feed cancer 124 00:09:37,82 --> 00:09:44,16 cells are there or they were recommended. Aside from the plague and in the plan 125 00:09:45,00 --> 00:09:45,91 is is there 126 00:09:45,92 --> 00:09:51,90 a. A recommendation you do have cancer you're losing weight because you're on 127 00:09:52,80 --> 00:09:57,97 or all of these things is there's are there recommendations that are made I mean we 128 00:09:58,01 --> 00:10:04,51 certainly hear a lot of advertising for. This is 129 00:10:04,52 --> 00:10:10,22 a natural kind of thing that's and I just I just wonder are there things that 130 00:10:10,78 --> 00:10:16,75 Moffitt or or you personally think people should make sure that they get it to 131 00:10:16,76 --> 00:10:17,74 their meals that's 132 00:10:17,75 --> 00:10:23,29 a good question and that kind of ties into the older adult and what happens as we 133 00:10:23,30 --> 00:10:26,19 age as we get older and cancer is 134 00:10:26,20 --> 00:10:32,24 a disease that happens more often in older adults we know are our body mass 135 00:10:32,25 --> 00:10:38,33 decreases and we burn fewer calories so for not more cautious about what we're 136 00:10:38,34 --> 00:10:42,75 eating we can easily gain too much weight converse Lee if you have 137 00:10:42,76 --> 00:10:47,54 a situation where you're going undergoing medical treatment and your appetite is 138 00:10:47,55 --> 00:10:52,36 decreased it's important to optimize the physic you're eating and make sure that 139 00:10:52,62 --> 00:10:53,91 the foods you do eat have 140 00:10:53,92 --> 00:10:58,16 a high nutrient content and the nutrients in our most important during treatment 141 00:10:58,17 --> 00:11:03,91 are protein because protein is required to maintain muscle and strength and also to 142 00:11:03,92 --> 00:11:09,19 fight off infection and to rebuild replace your blood cells once they turn over so 143 00:11:09,51 --> 00:11:12,62 protein is very important and oftentimes when there's 144 00:11:12,63 --> 00:11:14,51 a decrease in appetite there may be 145 00:11:14,52 --> 00:11:20,84 a decrease in protein intake so we encourage that also calories in any source in 146 00:11:20,85 --> 00:11:26,71 any form from any source will help to maintain body weight if weight is decreasing 147 00:11:27,00 --> 00:11:32,75 so oftentimes that we have to do is tell people to liberalize their diet and start 148 00:11:32,76 --> 00:11:36,82 reintroducing some of the foods that they may have been avoiding for other health 149 00:11:36,83 --> 00:11:41,85 reasons for example lot of people are saying oh I don't want to eat fat I don't 150 00:11:41,86 --> 00:11:47,36 want to eat sodium because of my cholesterol or my blood pressure right well with 151 00:11:47,37 --> 00:11:52,36 weight loss blood pressure goes down so if you're losing weight because of an 152 00:11:52,37 --> 00:11:56,61 illness you may need to reintroduce some of those foods that you've been avoiding 153 00:11:57,00 --> 00:12:01,82 and that can help with appetite and that can help to increase intake when appetite 154 00:12:01,83 --> 00:12:08,82 is poor. The programs that you both run that deliver food meals on wheels in the 155 00:12:08,83 --> 00:12:14,77 county I know you don't get into the diet dietician portions of it in nutrition or 156 00:12:14,78 --> 00:12:18,92 should you have other people to do that right yet actually it with the county we do 157 00:12:18,93 --> 00:12:19,05 have 158 00:12:19,06 --> 00:12:23,48 a dietitian the reviews they look at the menus before they're actually set so we 159 00:12:23,49 --> 00:12:27,81 know what's going to be delivered and was going to be actually given even at our 160 00:12:27,82 --> 00:12:32,55 meal sites and of course the meals are in accordance with making sure that there's 161 00:12:32,56 --> 00:12:37,44 a well balanced plate there for them and then at the meal size the nice thing is 162 00:12:37,45 --> 00:12:42,36 that we're able to provide the education for them because that's 163 00:12:42,37 --> 00:12:45,68 a key piece too is that a lot of them they grow up eating 164 00:12:45,69 --> 00:12:49,40 a certain way and now that they're getting older and they're declining 165 00:12:49,41 --> 00:12:54,08 a little bit or they're having more elements or just to maintain their health they 166 00:12:54,09 --> 00:12:59,01 have to reintroduce foods or in some cases maybe eliminate foods and they're used 167 00:12:59,02 --> 00:13:02,05 to eating and that they've been accustomed to eating and that's what mom and dad 168 00:13:02,06 --> 00:13:06,98 taught us how to eat these things they receive the education so they can maintain 169 00:13:06,99 --> 00:13:11,78 their health and become and stay healthy and I think one very important thing that 170 00:13:11,79 --> 00:13:15,81 you pointed out is that it needs to be individualized and that's what the 171 00:13:15,82 --> 00:13:21,20 registered dietitian does that's our our role is to help individual eyes that meal 172 00:13:21,21 --> 00:13:25,83 plan and that eating plan according to their situation their age their medical 173 00:13:25,84 --> 00:13:30,29 condition and anything on anything else that may be going on with them and that's 174 00:13:30,30 --> 00:13:31,24 a key piece too because 175 00:13:31,25 --> 00:13:34,77 a lot of times what will happen is they'll compare notes friends will compare notes 176 00:13:35,24 --> 00:13:39,97 I'm diabetic I have high blood pressure so I can have all these things but in some 177 00:13:39,98 --> 00:13:45,32 cases I really need some of those things in my diet I can eliminate because then if 178 00:13:45,33 --> 00:13:49,85 I eliminate too many of them and Hollerith I'm good fats right I'm going to lose 179 00:13:49,86 --> 00:13:53,33 weight and then if I lose weight I'm going to become weak right and then I won't be 180 00:13:53,34 --> 00:13:57,81 able to function independently in my home and so the education I think is really 181 00:13:57,82 --> 00:14:02,90 a key piece as we get older we have to ensure that we're learning what's good for. 182 00:14:03,05 --> 00:14:05,28 Us what's good what's going to be good for me isn't 183 00:14:05,29 --> 00:14:10,14 a study going to be good for you so right and our requirements change over time too 184 00:14:10,48 --> 00:14:15,21 and they change based on our condition at that time for you have more so you 185 00:14:15,22 --> 00:14:21,76 probably also got somebody who plans out meals for what's going out to the. Day the 186 00:14:21,77 --> 00:14:27,51 United. And you get passably do that kind of you know as good as we are used to 187 00:14:27,52 --> 00:14:31,65 make new friends reminds me I mean that's why they're for providing education right 188 00:14:31,66 --> 00:14:36,77 ribs do that because they can't do it you know you can't wait to get Iowa from no 189 00:14:36,83 --> 00:14:41,08 person in apartment to even to after you know just can't do it right we deliver I 190 00:14:41,09 --> 00:14:44,10 think very similar where we'll have a set we have 191 00:14:44,11 --> 00:14:47,97 a menu for the month so whatever's on that menu there's going to be maybe some 192 00:14:47,98 --> 00:14:53,47 alterations but for the most part what you get is what I get right and so we just 193 00:14:53,48 --> 00:14:57,07 have to make sure that if I'm going to receive the mail if there's no additional 194 00:14:57,08 --> 00:15:00,81 salt that I'm adding or hot sauce added on to the so that's what you're doing your 195 00:15:00,82 --> 00:15:04,54 education may day go do that with how do you use that we have 196 00:15:04,73 --> 00:15:08,95 a great shot of New York and what he does is he makes so many of the many say they 197 00:15:08,96 --> 00:15:14,37 just know that it isn't. I mean they can make peace with it I mean actually offered 198 00:15:14,38 --> 00:15:18,65 a South American to move to New York so he's a really good shot and so he makes 199 00:15:18,66 --> 00:15:23,08 a six week making you know and we are regulated by the Health Department so they 200 00:15:23,09 --> 00:15:28,72 come in and they check we do that the calories the carbs the proteins. All of our 201 00:15:28,73 --> 00:15:34,16 you have to make sure that's all dealt with exactly bird low sodium so therefore 202 00:15:34,20 --> 00:15:39,60 our as we talk about monthly luncheon for people to hear about us and you will find 203 00:15:39,61 --> 00:15:43,67 salt shakers on the table because you know what you want to add salt to it because 204 00:15:43,68 --> 00:15:48,79 it is low sodium fine soldier you know you will OK but our research into our 205 00:15:48,80 --> 00:15:53,06 elderly they can't handle or they may not be over him about regular salt so we just 206 00:15:53,21 --> 00:15:56,88 they may be more sensitive to the right so we just make all the meals very low 207 00:15:56,89 --> 00:16:02,31 sodium. But all of our meals were a base of a protein a starch and 208 00:16:02,32 --> 00:16:08,65 a bunch of people so today was poor guy with yellow rice black being yesterday with 209 00:16:08,66 --> 00:16:13,64 chicken parmesan with pasta again I'm going. So we do have 210 00:16:13,65 --> 00:16:17,38 a very good shot but our meat is very good but it's also very balanced balanced 211 00:16:17,86 --> 00:16:21,49 there are their educational programs well also available through Meals on Wheels or 212 00:16:21,50 --> 00:16:25,93 no you gave me again give you one example of that right you couldn't possibly do 213 00:16:25,94 --> 00:16:30,70 all that because they were down so you wouldn't write necessarily everywhere you 214 00:16:30,71 --> 00:16:34,50 could provide your programs down at the rec centers where they're at this right at 215 00:16:34,51 --> 00:16:39,72 this in your letters but for some of our clients we do have social workers and case 216 00:16:39,73 --> 00:16:44,26 workers that can go to the home and assess the needs so if they need that meal in 217 00:16:44,27 --> 00:16:47,94 addition to maybe something at home services they can also do the assessment there 218 00:16:47,98 --> 00:16:52,43 for those clients and then at that time we also try to provide 219 00:16:52,44 --> 00:16:56,02 a little bit of education about the type of meals because we're going to we're 220 00:16:56,03 --> 00:16:59,38 going to assess their environment to see exactly what it is that they have to they 221 00:16:59,39 --> 00:17:03,45 have enough food in their pantry to have enough milk as their refrigerator you're 222 00:17:03,46 --> 00:17:06,91 going to go out on the scope of the yeah because they know they can have 223 00:17:06,92 --> 00:17:07,93 a meal but if they don't have 224 00:17:07,94 --> 00:17:11,60 a place to warm up their Myler to heat their meal or keep it cool that really is 225 00:17:11,61 --> 00:17:15,03 not going to be is going to be efficient for them and they will benefit or you 226 00:17:15,04 --> 00:17:18,36 could have somebody like I recover my mother putting twenty minutes into that 227 00:17:18,37 --> 00:17:25,04 Michael. Yes. Now do they have visual I never ever when you want to 228 00:17:25,43 --> 00:17:30,94 leave me alone I go to get out and I just put the twenty I could see that better 229 00:17:31,27 --> 00:17:35,90 that's in all but if you did get the air. India but that's 230 00:17:35,91 --> 00:17:39,36 a key piece because if you want to make sure that goes with all that's all right 231 00:17:39,37 --> 00:17:41,88 now and she yeah they're going to overcook their meal or 232 00:17:41,89 --> 00:17:47,69 a buy back to heart with the rings that Lee So we do we try to just sure that the 233 00:17:47,88 --> 00:17:51,48 clients that are homebound if they are homebound that they are receiving those 234 00:17:51,49 --> 00:17:55,35 additional services just to assure that they can maintain their meals and if they 235 00:17:55,36 --> 00:17:58,94 were talking about people comparing things and I find it interesting I go because 236 00:17:58,95 --> 00:18:05,78 a new one has. Diabetes too and it has. Renal 237 00:18:05,79 --> 00:18:12,54 failure and now she got cancer so you say you have this and she says no I 238 00:18:12,55 --> 00:18:17,63 can't have that on that diet I get my yes I should have and I said I just read that 239 00:18:17,87 --> 00:18:19,65 you know a diabetic should have X. 240 00:18:19,69 --> 00:18:23,73 And then you have got a person who has kidney failure can't have 241 00:18:24,27 --> 00:18:27,38 a some confuse some outs where if the if they've been 242 00:18:27,39 --> 00:18:33,53 a patient in the hospital the dietician would have educated them so oftentimes they 243 00:18:33,54 --> 00:18:37,94 get that education in the medical setting and then they go home and hopefully they 244 00:18:37,95 --> 00:18:42,15 know what to do with the pain about Yass well but I mean I just think the whole 245 00:18:42,16 --> 00:18:49,07 thing is very confusing life don't we have. Daily daily maybe they're not daily 246 00:18:49,08 --> 00:18:53,53 but they feel like daily and it's probably because you know I'm old enough to 247 00:18:53,54 --> 00:18:59,01 remember when this was good for you but now it isn't and this is now bad for you 248 00:18:59,02 --> 00:19:05,15 but it would you know it just like over time there's so many. Different 249 00:19:05,55 --> 00:19:11,16 ideas about what we should and shouldn't. Different message out there and try and 250 00:19:11,20 --> 00:19:16,09 keep up with what's working and that's that's our job is to interpret that 251 00:19:16,10 --> 00:19:23,02 information as and then educate consumers about what's what to pay attention to and 252 00:19:23,03 --> 00:19:27,24 what to disregard because there's so much information out there and it's hard to 253 00:19:27,25 --> 00:19:33,36 know what's accurate so we also help people to know which are the reliable 254 00:19:33,37 --> 00:19:40,07 resources and we read the scientific information and we interpret it for them 255 00:19:40,50 --> 00:19:43,79 and tell them OK this is what you need to pay attention to because there's 256 00:19:43,80 --> 00:19:49,27 a lot of research supporting this and it's been consistent over time as. I would 257 00:19:49,28 --> 00:19:53,88 just like to what do you think about vitamins and minerals things like that I knew 258 00:19:53,89 --> 00:20:00,89 that to come out of. There so when they put that make that these vitamins should I 259 00:20:00,90 --> 00:20:04,48 trust them are they well I mean these are they have F.D.A. 260 00:20:04,49 --> 00:20:10,49 And. To me very good very very worrisome to me that is the abundance of people who 261 00:20:10,50 --> 00:20:17,29 take. Barrels of the yes and I have found that the people who seem to have 262 00:20:17,30 --> 00:20:20,56 a big healthy regimen of taking them get sick 263 00:20:21,37 --> 00:20:25,94 a lot more than other people who don't do that you are most of used to most of them 264 00:20:25,99 --> 00:20:32,49 are are not necessary Most people don't realize that the dietary supplements are 265 00:20:32,50 --> 00:20:37,51 not tested before they're put on the shelf they're not regulated by the F.D.A. 266 00:20:37,55 --> 00:20:42,79 They can be they're not tested by the F.D.A. Drugs are tested by the F.D.A. 267 00:20:42,80 --> 00:20:47,86 Before they're allowed to be sold are prescribed dietary supplements or are in an 268 00:20:47,87 --> 00:20:53,02 entirely different category they are only tested when they have been shown to cause 269 00:20:53,03 --> 00:20:54,60 harm so 270 00:20:54,64 --> 00:20:59,09 a lot of those dietary supplements find immense minerals and herbal supplements are 271 00:20:59,10 --> 00:21:03,59 not don't have mandatory testing for safety or effectiveness so there are 272 00:21:03,60 --> 00:21:09,12 a lot of people taking them in doses that could be toxic or they're taking them 273 00:21:09,13 --> 00:21:14,63 without knowing how much they need for their body they're meant to supplement food 274 00:21:14,64 --> 00:21:17,61 not to replace food and they're not meant to be 275 00:21:17,65 --> 00:21:21,93 a treatment they're not meant for therapeutic reasons unless they're prescribed for 276 00:21:21,94 --> 00:21:27,20 therapy many people are self medicating when they take high doses of vitamin 277 00:21:27,24 --> 00:21:32,00 mineral supplements or months but we're here and I think there's so much marketing 278 00:21:32,01 --> 00:21:36,97 going on of these things and if you want to reduce stress take this vitamin or 279 00:21:36,98 --> 00:21:43,27 supplement to David's ward or whatever it's called St John's I try to say Oh you 280 00:21:43,28 --> 00:21:49,68 did I did did you know that was my favorite saying. Something not happy. 281 00:21:50,91 --> 00:21:55,61 But anyway so it's not only that but I remember 282 00:21:55,62 --> 00:21:58,50 a friend of mine who had 283 00:21:58,51 --> 00:22:05,46 a tremendous problem with her are I am raging and. So 284 00:22:05,47 --> 00:22:11,00 she couldn't go anywhere or do anything and it was packed for weeks and weeks and I 285 00:22:11,01 --> 00:22:17,85 started reading something about one of these herbs. And its ability to 286 00:22:17,86 --> 00:22:21,60 cause hemorrhaging and then also 287 00:22:21,61 --> 00:22:27,90 a daily dose of. But aspirin will will thin your brought out right so here so I 288 00:22:27,91 --> 00:22:31,38 called her up and I said Is there any chance blah blah blah because they couldn't 289 00:22:31,39 --> 00:22:36,74 figure out why she her I am rich and she took all of the out because by now 290 00:22:36,75 --> 00:22:42,47 anything to add to them was something that could cause blood thinning to the degree 291 00:22:42,48 --> 00:22:48,42 that you would hemorrhage we see that just just in saying to me Wow What what do we 292 00:22:48,43 --> 00:22:55,34 do about the fact that you know now I see as being marketed to death over the flu 293 00:22:55,35 --> 00:23:01,38 vaccine. Side myself too we really need that is there any chance that that causes 294 00:23:01,39 --> 00:23:08,22 something else. And you know how do we insulate or protect 295 00:23:08,88 --> 00:23:14,59 people who are vulnerable just by well it's and it's been more and more difficult 296 00:23:14,60 --> 00:23:18,07 with all the information on the Internet to be able to determine what's real and 297 00:23:18,08 --> 00:23:20,79 what isn't and what's being promoted by 298 00:23:20,80 --> 00:23:27,31 a company who wants to simply sell their product versus reliable information so I 299 00:23:27,35 --> 00:23:31,51 the best thing to do is to check with your physician or dietitian your health 300 00:23:31,52 --> 00:23:37,39 practitioner and say based on my current situation and my condition and my diet 301 00:23:37,52 --> 00:23:41,77 what do you think I should be taking many times we recommend having 302 00:23:42,17 --> 00:23:47,65 a blood test for example of vitamin D. Many people are deficient in vitamin D. 303 00:23:47,66 --> 00:23:50,01 But the only way to know whether you are not is to have 304 00:23:50,02 --> 00:23:54,89 a blood test and the best way to treat it really the only way is to take the 305 00:23:54,90 --> 00:24:00,95 recommended amount for you based on what your level is to correct the deficiency we 306 00:24:00,96 --> 00:24:06,34 don't advise people to go out and randomly start taking high doses of any vitamin 307 00:24:06,46 --> 00:24:11,00 without being tested because they could do some damage you can't selves absolutely 308 00:24:11,01 --> 00:24:17,28 sure. We're winding down our well I thought was another one more question and that 309 00:24:17,29 --> 00:24:23,89 was about what you should do with cancer and you have that well is there anything 310 00:24:23,93 --> 00:24:28,72 when you're. When you have cancer that you should actually wait you talk about 311 00:24:29,12 --> 00:24:34,29 protein and calories right point but are there things that need to be avoided that 312 00:24:34,40 --> 00:24:40,69 there are no foods that we know during cancer treatment that should be avoided we 313 00:24:40,70 --> 00:24:45,37 don't have enough research to really support of voiding any one thing during 314 00:24:45,38 --> 00:24:51,83 treatment however there is enough research to show that red meat and processed 315 00:24:51,84 --> 00:24:58,66 meats increase risk for cancer recurrence or developing cancer particularly colon 316 00:24:58,67 --> 00:25:04,24 cancer there is an association between red me processed meat and colon cancer so 317 00:25:04,25 --> 00:25:09,59 any. One who is at risk for colon cancer or who has had colon cancer we do 318 00:25:09,60 --> 00:25:14,22 recommend avoiding that as they move forward stay away from the salami that became 319 00:25:14,42 --> 00:25:19,82 New York and the hot dogs and the Hot Dogs don't want those resentful is that. What 320 00:25:19,83 --> 00:25:21,08 you have to about three minutes 321 00:25:21,09 --> 00:25:25,50 a time what did so want to give each one of you some portion of 322 00:25:25,51 --> 00:25:31,70 a minute to. Make sure that you let viewers know something you want to repeat 323 00:25:31,71 --> 00:25:35,30 something you said earlier or you hear something we missed that you want to make 324 00:25:35,31 --> 00:25:40,02 sure you are is know about Meals on Wheels or your other program. You go first 325 00:25:40,35 --> 00:25:46,06 hoping you are anyone you know is out home and can't get out to make their own 326 00:25:46,07 --> 00:25:51,02 meals or they can't get to the grocery store you know please have them give us 327 00:25:51,03 --> 00:25:54,54 a call we would love to help them out about hot home delivered mail to them every 328 00:25:54,55 --> 00:26:01,49 day your website it's W W W dot in mode Tampa dot org 329 00:26:01,96 --> 00:26:03,04 or Mo W. 330 00:26:03,25 --> 00:26:08,77 Yeah. Motera I don't already. Know. 331 00:26:10,36 --> 00:26:14,51 That the number is two three eight point one zero I know we're going to run that 332 00:26:14,62 --> 00:26:20,35 during the program or if you have the resources there Michel and for us 333 00:26:20,44 --> 00:26:25,35 a good portion of what we do in addition to delivering meals and providing meals at 334 00:26:25,36 --> 00:26:30,37 our meal sites is the education piece so I just encourage all seniors or anyone in 335 00:26:30,38 --> 00:26:34,72 the community if you're really unsure about your dietary needs to talk with your 336 00:26:34,73 --> 00:26:41,20 doctor but also don't be. A dietitian and we actually have nurses at our senior 337 00:26:41,21 --> 00:26:45,66 centers that can provide you with some education and some information or we can 338 00:26:45,67 --> 00:26:46,30 refer you to 339 00:26:46,31 --> 00:26:51,24 a dietician from Moffitt or from another organization they can assist you with your 340 00:26:51,25 --> 00:26:52,95 specific needs and really 341 00:26:52,96 --> 00:26:57,42 a lot of it is just educating making sure that you understand the importance of 342 00:26:57,43 --> 00:27:04,31 a nice well balanced meal so no extra chips and cookies and cakes. You know 343 00:27:04,32 --> 00:27:07,61 before and after meals and I run a calendar on your website we have 344 00:27:07,62 --> 00:27:12,28 a calendar that outlines the meals and for our nutrition program you do have to be 345 00:27:12,29 --> 00:27:17,12 enrolled to receive the home delivered or for the meal site but if you go to the 346 00:27:17,13 --> 00:27:21,71 education programs any time absolutely or even stop by one of our male sides and 347 00:27:21,72 --> 00:27:23,02 you don't have to be placed on 348 00:27:23,03 --> 00:27:27,87 a waiting list will just roll and roll you right then and there but you can go 349 00:27:27,88 --> 00:27:34,73 right. To W W W dot Hillsborough County dot org and or and use it for 350 00:27:35,21 --> 00:27:39,83 nutrition information seek out a registered dietitian We have also have 351 00:27:39,84 --> 00:27:45,87 a well ask the dietitian on our Moffat dot org website and eat right Daughter 352 00:27:45,88 --> 00:27:48,14 organize another organization where you can find 353 00:27:48,18 --> 00:27:52,54 a dietician in your area right doctor or go with the program eating right that's 354 00:27:52,55 --> 00:27:58,28 right me appreciate you all being here and bang your best knowledge and services 355 00:27:58,29 --> 00:28:04,83 that you could take with them and go get and enjoy the shade watching STATE 356 00:28:05,21 --> 00:28:11,69 again another happy healthy and please come visit us. With 357 00:28:12,08 --> 00:28:18,00 with with 358 00:28:18,55 --> 00:28:25,55 us with. With. With 359 00:28:26,20 --> 00:28:32,03 with. With 360 00:28:32,66 --> 00:28:39,06 with. With. With. 361 00:28:42,84 --> 00:28:47,26 With with. With.